By S. Vanheule
This booklet seriously evaluates the 5th version of the Diagnostic and Statistical handbook of psychological problems (DSM-5). via research of the background of psychiatric analysis and of the instruction manual itself, it argues that the DSM-5 has a slender biomedical method of psychological issues, and proposes a brand new contextualizing version of psychological healthiness signs.
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Extra info for Diagnosis and the DSM: A Critical Review
Sample text
In other words, the discourse diagnosed individuals are imbedded in determine the way in which they are evaluated by others, as well as how they look at themselves. For example, recent meta-analytic research shows that biomedical explanations of mental disorders reduce feelings of blame and responsibility about having psychological problems, but also significantly increase pessimism about the prognosis of a disorder, and nourish the belief that individuals with mental health problems are unpredictable and dangerous (Kvaale, Haslam, & Gottdiener, 2013).
Of the nine personality disorders tested, eight had fair to good reliability according to the Landis and Koch (1977) standard, while one (paranoid personality disorder) had poor reliability. Notwithstanding all rhetoric on the good reliability of the DSM since 1980 it was only with the DSM-5 field trials that a major test-retest reliability study was conducted with a sample size that was comparable to the 1726 patients that Spitzer and Fleiss (1974) included in their review. , 2013). Two hundred and eighty-six clinicians participated, and a total of 1466 adult patients and 616 pediatric patients were evaluated by two trained clinicians separately.
Nonetheless, it is quite obvious that the act of characterizing individuals by means of psychiatric terminology triggers a network of beliefs and societal practices; the latter is inevitable when a discourse becomes dominant and is simply taken for granted. In other words, the discourse diagnosed individuals are imbedded in determine the way in which they are evaluated by others, as well as how they look at themselves. For example, recent meta-analytic research shows that biomedical explanations of mental disorders reduce feelings of blame and responsibility about having psychological problems, but also significantly increase pessimism about the prognosis of a disorder, and nourish the belief that individuals with mental health problems are unpredictable and dangerous (Kvaale, Haslam, & Gottdiener, 2013).